Tri care covering Breast Pump?

Aforcewife · October 2010

Sorry if this has been asked recently. I tried to search to see.

Anyone have any luck with getting Tricare to cover a breast pump? If a doctor wrote a prescription?

Thanks!

1momma · October 2010

I have TriWest and they cover them if you have a script.

https://www.triwest.com/beneficiary/bolt/home.mvc/details/breast%20pumps

afwifestrecker7706 · October 2010

Thank you for the info I wish I would have known this 2 years ago. We would have qualified for one.

SarahTx5701 · October 2010

You can rent them for free from wic if you qualify

JustMeOk · October 2010

1momma:

I have TriWest and they cover them if you have a script.

https://www.triwest.com/beneficiary/bolt/home.mvc/details/breast%20pumps

This is not 100% true, in order for tricare (triwest) to cover the cost of a pump, that baby must be premature and be medical warrented. I went through this with ds2 and was denied even with a script because ds2 was not premature.

Please read the fine print

ali1125 · October 2010

As pp's said it is hard to get them to cover, but our base has a program where they loan one out to you.

SarahTx5701 · October 2010

JustMeOk:
1momma:

I have TriWest and they cover them if you have a script.

https://www.triwest.com/beneficiary/bolt/home.mvc/details/breast%20pumps

This is not 100% true, in order for tricare (triwest) to cover the cost of a pump, that baby must be premature and be medical warrented. I went through this with ds2 and was denied even with a script because ds2 was not premature.

Please read the fine print

damn I was triwest when ds was born, and was a preemie.

I had no idea the insurance would have covered a purchased one...I had to rent mine through wic.

Indiechixor · October 2010

Some bases/posts it is a case-by-case basis.

Even though my son was only 3 weeks early, and was barely under 6lbs (5lb 15oz) our Lactation Consultant deemed me worthy of a free pump - seeing as I am active duty as well.

It is also worth noting that many hospitals find it cheaper to give them away rather than rent them out, as the replacement parts/sanatizing process is more expensive than purchasing new units.

afwife08 · October 2010

1momma:
I have TriWest and they cover them if you have a script.
https://www.triwest.com/beneficiary/bolt/home.mvc/details/breast%20pumps

I am also TriWest and the colored the pump with a script after DD was born in July. She was not premature. I don't know if it was something special or not. The nurses at my hospital actually were the ones that told me about it and they had been told by the Tricare rep on base.

CCCSLP1 · October 2010

I am in the North region and I asked our TriCare specialist this exact question recently. They do not cover them at all.

marinewifebarker · October 2010

1momma:

I have TriWest and they cover them if you have a script.

https://www.triwest.com/beneficiary/bolt/home.mvc/details/breast%20pumps

Dang it I wish I would've known this 6 months ago! I had to quit bf because of complications and could have definitely continued had I known this information! THank you!!!